A Comparative Study of Functional Outcomes Following Arthroscopic Anterior Cruciate Ligament Reconstruction Using Hamstring Tendon versus Peroneus Longus Tendon Autograft
Abstract
Introduction: Anterior cruciate ligament (ACL) injury is one of the most common ligamentous injuries of the knee, leading to instability, functional limitation, and early degenerative changes if untreated. Arthroscopic ACL reconstruction is the current gold standard. While hamstring tendon autograft is widely accepted, the peroneus longus tendon autograft has recently emerged as a promising alternative. Aim & Objective: To compare the functional outcomes, graft characteristics, and donor site morbidity of arthroscopic ACL reconstruction using hamstring tendon autograft and peroneus longus tendon autograft. Materials and Methods: A prospective randomized controlled study was conducted on 40 patients with confirmed ACL injuries. Patients were divided into two groups: Group A (Hamstring tendon autograft, n = 20) and Group B (Peroneus longus tendon autograft, n = 20). Functional outcomes were assessed using the international knee documentation committee (IKDC) score and Tegner Lysholm score. Donor site morbidity was evaluated using the foot and ankle disability index (FADI). Assessments were performed preoperatively and at post-operative day 10, 6 weeks, and 6 months. Results: Both groups demonstrated significant improvement in functional scores at 6 months. There was no statistically significant difference between the two groups in IKDC and Lysholm scores at final follow-up (P > 0.05). Donor site morbidity in the peroneus longus group was minimal, with FADI scores returning to baseline by 6 months. Conclusion: Peroneus longus tendon autograft provides functional outcomes comparable to hamstring tendon autograft with minimal donor site morbidity and can be considered a reliable alternative graft for arthroscopic ACL reconstruction.
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BibTeX
@article{manikkumaran2026comparative,
title = {{A Comparative Study of Functional Outcomes Following Arthroscopic Anterior Cruciate Ligament Reconstruction Using Hamstring Tendon versus Peroneus Longus Tendon Autograft}},
author = {A Manikkumaran and A Manikandan and B Vaishnav Kumar},
journal = {Journal of Orthopaedic Case Reports},
year = {2026},
month = nov,
doi = {10.13107/jocr.2026.v16.i11.8530},
url = {https://doi.org/10.13107/jocr.2026.v16.i11.8530},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - A Comparative Study of Functional Outcomes Following Arthroscopic Anterior Cruciate Ligament Reconstruction Using Hamstring Tendon versus Peroneus Longus Tendon Autograft
AU - A Manikkumaran
AU - A Manikandan
AU - B Vaishnav Kumar
PY - 2026
DA - 2026/11/09
JO - Journal of Orthopaedic Case Reports
DO - 10.13107/jocr.2026.v16.i11.8530
UR - https://doi.org/10.13107/jocr.2026.v16.i11.8530
AB - Introduction: Anterior cruciate ligament (ACL) injury is one of the most common ligamentous injuries of the knee, leading to instability, functional limitation, and early degenerative changes if untreated. Arthroscopic ACL reconstruction is the current gold standard. While hamstring tendon autograft is widely accepted, the peroneus longus tendon autograft has recently emerged as a promising alternative. Aim & Objective: To compare the functional outcomes, graft characteristics, and donor site morbidity of arthroscopic ACL reconstruction using hamstring tendon autograft and peroneus longus tendon autograft. Materials and Methods: A prospective randomized controlled study was conducted on 40 patients with confirmed ACL injuries. Patients were divided into two groups: Group A (Hamstring tendon autograft, n = 20) and Group B (Peroneus longus tendon autograft, n = 20). Functional outcomes were assessed using the international knee documentation committee (IKDC) score and Tegner Lysholm score. Donor site morbidity was evaluated using the foot and ankle disability index (FADI). Assessments were performed preoperatively and at post-operative day 10, 6 weeks, and 6 months. Results: Both groups demonstrated significant improvement in functional scores at 6 months. There was no statistically significant difference between the two groups in IKDC and Lysholm scores at final follow-up (P > 0.05). Donor site morbidity in the peroneus longus group was minimal, with FADI scores returning to baseline by 6 months. Conclusion: Peroneus longus tendon autograft provides functional outcomes comparable to hamstring tendon autograft with minimal donor site morbidity and can be considered a reliable alternative graft for arthroscopic ACL reconstruction.
SN - 2250-0685
SN - 2321-3817
ER -